HESI RN 2025 EXIT QUESTION PAPER
STRATEGIC SUCCESS MANUAL WITH
ACCURATE QUESTIONS AND STEPWISE
ANSWERS
◍ A client recovering from pneumonia who has a history of severe
chronic obstructive pulmonary disease (COPD) and peripheral vascular
disease (PVD) is being discharged from a skilled nursing facility. Which
action is most important for the nurse to implement?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed instructions for healthy diet selection
D Reinforce need for adequate hydration. Answer: C Provide typed
instructions for healthy diet selection
◍ A 6-week-old infant with pyloric stenosis is scheduled for a
pyloromyotomy. Which pre-operative nursing action has the highest
priority?
A Instruct parents regarding care of the incisional area.
B Mark an outline of the "olive-Shaped" mass in the right epigastric
area.
C Initiate a continuous infusion of IV fluids per prescription.
,D Monitor amount of intake and infant's response to feedings. Answer:
C Initiate a continuous infusion of IV fluids per prescription.
◍ NGN: The client is a 26 yr old female who was in a car accident 6
months ago that killed her mother, husband, and 2 yr old son. She and
her father were the only survivors of the crash. She is seeking care for
depression.
Choose the most likely options for the information missing from the
statement by selecting from the list of options provided.
The client is exhibiting symptoms of _________ relating to
___________ and __________. Answer: The client is exhibiting
symptoms of PTSD relating to EXPERIENCING A LIFE-
THREATENING EVENT and LOSING A LOVE ONE.
◍ NGN: After the examination by the physician, the client was
diagnosed with depression and PSTD. The physician wrote orders for
medication that need to be filled. The nurse speaks with the client again
to educate her about her diagnose and medication. How can the nurse
build a therapeutic relationship with the client? Select all that apply.
A The nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
,D The nurse can talk as much as needed to get the client talking
E The nurse can focus energy on the client
F The nurse can show no emotion when talking to the client Answer: A
The nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
◍ NGN: During the conversation with the client, the nurse documents a
statement by the client about wishing she had died in the crash. Choose
the most likely options for the information missing from the statement
by selecting the list of options provided.
The statement by the client represents _______ and should be followed
up with __________. Answer: The statement by the client represents
SUICIDAL IDEATION and should be followed up with AN
ASSESSMENT OF RISK FACTORS FOR SUICIDE.
◍ NGN: What would be some effective strategies that the nurse could
use to decrease the client's risk of suicide in the future? Select all that
apply.
A Have the client sign a no-suicide contract
B Refer the client for cognitive behavioral therapy
C Make the client feel too guilty to commit suicide
, D Place the client in a locked unit
E Have the client remove any sharp objects from the home
F Help the client enlist the help of friends and family Answer: A Have
the client sign a no-suicide contract
F Help the client enlist the help of friends and family
◍ Dopamine 5 mcg/kg/minute IV is prescribed for a client who weighs
132 pounds. The pharmacy dispenses a 500 mL IV solution of 0.9%
normal saline with dopamine 1600 mg. The nurse should program the
infusion pump to deliver how many mL/hour? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) Answer:
◍ An adult client who is admitted to the mental health unit for treatment
of bipolar disorder has a slightly slurred speech pattern and an unsteady
gait. Which assessment finding is most important for the nurse to report
to the healthcare provider?
Reference Range:
Blood alcohol level [Reference Range: 0 to 10.9 mmol/L (0% to 0.05%)]
Lithium (Reference Range: 0.8 to 1.2 mEq/L or 0.8 to 1.2 mmol/L]
A Blood alcohol level of 0.09% (90 mmol/L)
B Serum lithium level of 1.6 mEq/L (1.6 mmol/L)
C Six hours of sleep in the past three days.
STRATEGIC SUCCESS MANUAL WITH
ACCURATE QUESTIONS AND STEPWISE
ANSWERS
◍ A client recovering from pneumonia who has a history of severe
chronic obstructive pulmonary disease (COPD) and peripheral vascular
disease (PVD) is being discharged from a skilled nursing facility. Which
action is most important for the nurse to implement?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed instructions for healthy diet selection
D Reinforce need for adequate hydration. Answer: C Provide typed
instructions for healthy diet selection
◍ A 6-week-old infant with pyloric stenosis is scheduled for a
pyloromyotomy. Which pre-operative nursing action has the highest
priority?
A Instruct parents regarding care of the incisional area.
B Mark an outline of the "olive-Shaped" mass in the right epigastric
area.
C Initiate a continuous infusion of IV fluids per prescription.
,D Monitor amount of intake and infant's response to feedings. Answer:
C Initiate a continuous infusion of IV fluids per prescription.
◍ NGN: The client is a 26 yr old female who was in a car accident 6
months ago that killed her mother, husband, and 2 yr old son. She and
her father were the only survivors of the crash. She is seeking care for
depression.
Choose the most likely options for the information missing from the
statement by selecting from the list of options provided.
The client is exhibiting symptoms of _________ relating to
___________ and __________. Answer: The client is exhibiting
symptoms of PTSD relating to EXPERIENCING A LIFE-
THREATENING EVENT and LOSING A LOVE ONE.
◍ NGN: After the examination by the physician, the client was
diagnosed with depression and PSTD. The physician wrote orders for
medication that need to be filled. The nurse speaks with the client again
to educate her about her diagnose and medication. How can the nurse
build a therapeutic relationship with the client? Select all that apply.
A The nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
,D The nurse can talk as much as needed to get the client talking
E The nurse can focus energy on the client
F The nurse can show no emotion when talking to the client Answer: A
The nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
◍ NGN: During the conversation with the client, the nurse documents a
statement by the client about wishing she had died in the crash. Choose
the most likely options for the information missing from the statement
by selecting the list of options provided.
The statement by the client represents _______ and should be followed
up with __________. Answer: The statement by the client represents
SUICIDAL IDEATION and should be followed up with AN
ASSESSMENT OF RISK FACTORS FOR SUICIDE.
◍ NGN: What would be some effective strategies that the nurse could
use to decrease the client's risk of suicide in the future? Select all that
apply.
A Have the client sign a no-suicide contract
B Refer the client for cognitive behavioral therapy
C Make the client feel too guilty to commit suicide
, D Place the client in a locked unit
E Have the client remove any sharp objects from the home
F Help the client enlist the help of friends and family Answer: A Have
the client sign a no-suicide contract
F Help the client enlist the help of friends and family
◍ Dopamine 5 mcg/kg/minute IV is prescribed for a client who weighs
132 pounds. The pharmacy dispenses a 500 mL IV solution of 0.9%
normal saline with dopamine 1600 mg. The nurse should program the
infusion pump to deliver how many mL/hour? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) Answer:
◍ An adult client who is admitted to the mental health unit for treatment
of bipolar disorder has a slightly slurred speech pattern and an unsteady
gait. Which assessment finding is most important for the nurse to report
to the healthcare provider?
Reference Range:
Blood alcohol level [Reference Range: 0 to 10.9 mmol/L (0% to 0.05%)]
Lithium (Reference Range: 0.8 to 1.2 mEq/L or 0.8 to 1.2 mmol/L]
A Blood alcohol level of 0.09% (90 mmol/L)
B Serum lithium level of 1.6 mEq/L (1.6 mmol/L)
C Six hours of sleep in the past three days.
